DERMATOLOGY CONSULTANTS, P.C.


Address: 1519 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-6409
Phone: 7709713376

DERMATOLOGY CONSULTANTS, P.C. (NPI# 1447564919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447564919
Entity Type Organization
Organization Name DERMATOLOGY CONSULTANTS, P.C.
Practice Address 1519 Johnson Ferry Rd
Suite 100
Marietta
GA 30062-6409
Mailing Address 2045 Peachtree Rd Ne
Suite 200
Atlanta
GA 30309-1414
Practice Telephone 7709713376
Practice Fax Number 7705788567
Mailing Telephone 4043517546
Mailing Fax Number 4043524706
Enumeration Date 2010-07-27
Last Update Date 2010-07-27
Authorized Official Name MRS. KIMBERLY GOODEN (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 4043517546
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site 45268 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA MEDICARE GROUP NUMBER GRP658 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982918462 Dermatology Consultants, P.C. Non-Pharmacy Dispensing Site 4151 Hospital Dr Ne, Covington, GA 30014-2565 2010-07-27
1881719524 Dermatology Consultants, P.C. Dermatology 6451 Chippewa St, Suite 2, Saint Louis, MO 63109-2104 2007-03-20
1851421531 Dermatology Consultants, P.C. Dermatology 2045 Peachtree Rd Ne, Suite 200, Atlanta, GA 30309-1414 2007-03-06

Office Location

Street Address 1519 JOHNSON FERRY RD
SUITE 100
City MARIETTA
State GA
Zip Code 30062-6409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801948658 Atlanta Women's Health Group, P.C. Obstetrics & Gynecology 1519 Johnson Ferry Rd, Suite 175, Marietta, GA 30062 2007-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619578051 Pamela D Kretzmer Social Worker 3855 Shallowford Road, Suite 420, Marietta, GA 30062 2020-11-03
1932714680 Michelle Chambless Physical Therapist Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 2020-09-10
1700408887 Life University Chiropractor 1323 Roswell Road, Marietta, GA 30062 2020-05-12
1104451160 Sno Healthcare Group Clinic/Center 2424 Roswell Rd Ste 120, Marietta, GA 30062 2020-03-10
1811536212 Sandy Plains Dental Group, PC Dentist 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 2020-01-02
1073159034 Magdala Tulcie Jodesty-jackson Social Worker 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 2019-11-25
1598235178 Matthew Driggers Counselor 4343 Shallowford Rd C2, Marietta, GA 30062 2018-11-27
1750895785 Emily Grace Minday Counselor 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 2017-11-29
1477072122 Jason Lee Amos Speech-Language Pathologist 3660 Chestnut Ridge Court, Marietta, GA 30062 2017-09-13
1346761376 Marian Pomaah Opoku-agyeman Nurse Practitioner 4661 Andrea Pointe, Marietta, GA 30062 2017-06-29
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093364028 Ankle and Foot Centers of Georgia, LLC Non-Pharmacy Dispensing Site 2520 Windy Hill Rd Se Ste 205, Marietta, GA 30067-8650 2019-09-11
1245753052 Walgreen Co Non-Pharmacy Dispensing Site 2833 Canton Rd, Marietta, GA 30066-5439 2017-07-24
1730573999 Ehi Pharmacy Solutions, LLC. Non-Pharmacy Dispensing Site 792 Church St Ne, Marietta, GA 30060-8954 2015-03-26
1669660486 Fibromyalgia and Fatigue Centers, Inc. Non-Pharmacy Dispensing Site 3750 Palladian Village Dr, Suite 300, Marietta, GA 30066-8200 2007-10-05

Providers in the same taxonomy and state

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1063061315 Wellstreet of Georgia PC Non-Pharmacy Dispensing Site 1280 Dogwood Dr Se, Conyers, GA 30013-5046 2019-09-10
1659929339 Ankle and Foot Centers of Georgia, LLC Non-Pharmacy Dispensing Site 1975 Highway 54 W Ste 200, Peachtree City, GA 30269-4794 2019-08-27
1801444591 Ankle and Foot Centers of Georgia, LLC Non-Pharmacy Dispensing Site 2326 Highway 34 E Ste 200, Newnan, GA 30265-1328 2019-08-27
1225686991 Ankle and Foot Centers of Georgia, LLC Non-Pharmacy Dispensing Site 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 2019-08-27
1265995724 Georgia Urology Pa Non-Pharmacy Dispensing Site 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 2019-04-11
1861980955 Wellstreet of Georgia PC Non-Pharmacy Dispensing Site 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 2018-04-25
1184111338 Wellstreet of Georgia PC Non-Pharmacy Dispensing Site 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 2018-04-13
1538666854 Wellstreet of Georgia PC Non-Pharmacy Dispensing Site 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 2018-04-12
1811494156 Wellstreet of Georgia PC Non-Pharmacy Dispensing Site 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 2018-04-12
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Competitor

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City MARIETTA
Zip Code 30062

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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